Form DCF-F-2438 "Daily Attendance Record - Licensed Child Care Centers" - Wisconsin

What Is Form DCF-F-2438?

This is a legal form that was released by the Wisconsin Department of Children and Families - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2019;
  • The latest edition provided by the Wisconsin Department of Children and Families;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DCF-F-2438 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Children and Families.

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Download Form DCF-F-2438 "Daily Attendance Record - Licensed Child Care Centers" - Wisconsin

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DEPARTMENT OF CHILDREN AND FAMILIES
STATE OF WISCONSIN
Division of Early Care and Education
Daily Attendance Record – Licensed Child Care Centers
Use of form: Licensed Family Child Care Centers are required to complete Section A and Section B in order to comply with DCF 250.04(6)(b); Section C may be completed to ensure
compliance with DCF 250.05(2)(c). Failure to comply may result in issuance of a noncompliance statement. This form may be used by Group Child Care Centers to ensure compliance
with DCF 251.04(6)(b) and 251.05(2)(a)6, by Day Camps for Children to ensure compliance with DCF 252.41(4)(c) and 252.42(1)(a)5, and by certified providers to ensure compliance with
DCF 202.08(5)(i) and 202.08(5)(j). Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1)(m), Wisconsin Statutes]. Completion of this form may
also help ensure compliance with the Child and Adult Care Food Program regulation 7 CFR 226.18(e) and child care subsidy rules under DCF 201.04(6).
Instructions: The daily attendance record must be kept on file for the length of time the child is enrolled in the center for licensed centers and for at least 3 years for certified providers.
Attendance records shall include all children in care, including the operator’s / provider’s own children under age 7. It is a requirement under Wis. Stat., 49.155(6m)(b) to retain attendance
records for at least 3 years after the child’s last day of attendance.
SECTION A – Facility and Timeframe:
Name – Facility
Facility ID Number
Week of (mm/dd/yyyy) through (mm/dd/yyyy)
SECTION B – Daily Attendance Record: Enter the child’s full name and date of birth for each child in attendance during the week. In the rows corresponding to the child’s name,
record the actual time the child arrives and the actual time the child departs, using a.m. / p.m. designations (do not record this information in advance). Times must be recorded
immediately upon the child’s arrival and departure, and the record must reflect all children in care at any given time. It is recommended that providers have the parents review
this form for accuracy at the end of the week and sign the form as verification that it is correct.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Name – Child
Date of
Parent Sign Off
(First and Last)
Birth
(signature)
In
Out
In
Out
In
Out
In
Out
In
Out
In
Out
In
Out
1.
2.
3.
4.
5.
6.
7.
8.
9.
Page 1 of 2
DCF-F-2438 (R. 10/2019)
DEPARTMENT OF CHILDREN AND FAMILIES
STATE OF WISCONSIN
Division of Early Care and Education
Daily Attendance Record – Licensed Child Care Centers
Use of form: Licensed Family Child Care Centers are required to complete Section A and Section B in order to comply with DCF 250.04(6)(b); Section C may be completed to ensure
compliance with DCF 250.05(2)(c). Failure to comply may result in issuance of a noncompliance statement. This form may be used by Group Child Care Centers to ensure compliance
with DCF 251.04(6)(b) and 251.05(2)(a)6, by Day Camps for Children to ensure compliance with DCF 252.41(4)(c) and 252.42(1)(a)5, and by certified providers to ensure compliance with
DCF 202.08(5)(i) and 202.08(5)(j). Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1)(m), Wisconsin Statutes]. Completion of this form may
also help ensure compliance with the Child and Adult Care Food Program regulation 7 CFR 226.18(e) and child care subsidy rules under DCF 201.04(6).
Instructions: The daily attendance record must be kept on file for the length of time the child is enrolled in the center for licensed centers and for at least 3 years for certified providers.
Attendance records shall include all children in care, including the operator’s / provider’s own children under age 7. It is a requirement under Wis. Stat., 49.155(6m)(b) to retain attendance
records for at least 3 years after the child’s last day of attendance.
SECTION A – Facility and Timeframe:
Name – Facility
Facility ID Number
Week of (mm/dd/yyyy) through (mm/dd/yyyy)
SECTION B – Daily Attendance Record: Enter the child’s full name and date of birth for each child in attendance during the week. In the rows corresponding to the child’s name,
record the actual time the child arrives and the actual time the child departs, using a.m. / p.m. designations (do not record this information in advance). Times must be recorded
immediately upon the child’s arrival and departure, and the record must reflect all children in care at any given time. It is recommended that providers have the parents review
this form for accuracy at the end of the week and sign the form as verification that it is correct.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Name – Child
Date of
Parent Sign Off
(First and Last)
Birth
(signature)
In
Out
In
Out
In
Out
In
Out
In
Out
In
Out
In
Out
1.
2.
3.
4.
5.
6.
7.
8.
9.
Page 1 of 2
DCF-F-2438 (R. 10/2019)
DEPARTMENT OF CHILDREN AND FAMILIES
STATE OF WISCONSIN
Division of Early Care and Education
SECTION B – Daily Attendance Record (continued): Enter the child’s full name and date of birth for each child in attendance during the week. In the rows corresponding to the child’s
name, record the actual time the child arrives and the actual time the child departs, using a.m. / p.m. designations (do not record this information in advance). Times must be recorded
immediately upon the child’s arrival and departure, and the record must reflect all children in care at any given time. It is recommended that providers have the parents review
this form for accuracy at the end of the week and sign the form as verification that it is correct.
Parent Sign
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Name – Child
Date of Birth
Off
In
Out
In
Out
In
Out
In
Out
In
Out
In
Out
In
Out
(First and Last)
(signature)
10.
11.
12.
13.
14.
15.
Total Daily Attendance
SECTION C – Provider Schedule: Enter full name and position title for each provider, additional provider, substitute or emergency backup provider who worked with the children during
the week. In the rows corresponding to the provider’s name, record the actual times the provider, additional provider, substitute, or emergency backup provider was counted in staff-to-
child ratios, using a.m. / p.m. designations.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Provider Name and Position Title
In
Out
In
Out
In
Out
In
Out
In
Out
In
Out
In
Out
Provider A:
Provider B:
Provider C:
Provider D:
Page 2 of 2
DCF-F-2438 (R. 10/2019)
Page of 2